Hello thanks for asking from HCM Calcified granuloma in brain can occur due to a number of findings. Neurocysticercosis, Tubercular granuloma, granuloma due to old injury etc are common causes. In most cases calcified granuloma doesn t result in severe symptoms and individuals may suffer mild headaches. But in some individuals it may cause terrible headaches by compression of adjacent structures or may result in seizures or some neurological complication. You have calcified granuloma in temporal lobe and is causing headache so should not be ignored. Consult a neuropsychiatrist for treatment of headache. If on MRI there is evidence of edema near granuloma then steroids should be given for short duration to reduce edema. For headache medicines like Amitryptiline, Nortryptiline, Phenytoin, carbamazapine etc can be used. These medicines can help to relieve headache. For severe headache associated with seizures anti-convulscents can be used. Visit a doctor for detailed evaluation and prescription. Thanks, hope this helps you.